目的 探讨CT平扫结合增强扫描 在肝左叶癌鉴别诊断中的价值分析。方法 回顾性地分析我院2014年1月-2015年12月 期间接收的48例肝左叶癌患者的检查资 料，通过CT平扫结合增强扫描得出的肝左 叶癌的病灶影像特点，对CT平扫结合增强 扫描在肝左叶癌鉴别诊断中的价值分析。 结果 本文共48例患者，通过CT平扫结合 增强扫描确诊左叶癌患者发生肝内转移的 患者33例(占总人数的68.75%)；发生腰椎 转移的15例(占总人数的31.25%)，通过增 强扫描，可见肝左叶病灶无强化，边界清 晰，低密度小结节影为病灶转移灶。结论 CT平扫结合增强扫描能够清晰反映病灶转 移的位置，CT扫描结果和患者的临床病例 特征基本吻合，诊断的准确率达到90%的 水平，具有极高的临床应用价值。

Objective To explore the CT scan and enhanced scan in the diagnosis of the left lobe liver carcinoma differential value analysis. Methods From January 2014 to December 2015, our hospital received 48 cases patients with hepatic carcinoma of the left lobe, Retrospective their inspection of data, through the CT scan and enhanced scan to observe patients imaging features of liver carcinoma, analysis of the CT scan and enhanced scan in the diagnosis of the left lobe liver carcinoma differential value. Results by CT scan and enhanced scan 48 patients, 33 patients with intrahepatic metastasis occurred (account for 68.75% of the total patients), 15 cases of lumbar spinal metastases (accounting for 31.25% of the total patients), through enhanced scan, we could observe that the left hepatic lobe lesions without reinforcement, sharpness of border, the low density nodules are metastatic lesions. Conclusion CT scan and enhanced scan could clearly reflect the position of the focal shift, CT scans and clinical features of patients with basic consistent, the diagnostic accuracy rate reached 90%. CT scan and enhanced scanning for the left lobe liver cancer diagnosis of focal shift have great value in clinical application